| NPI | 1891176236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-146337) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01081700A) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-03-12 |